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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34801/psn-pdf
    February 10, 2011 - Medication prescribing errors in a teaching hospital. February 10, 2011 Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital This study analyzed nearly 290,000 medica…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39072/psn-pdf
    November 04, 2009 - Variations in nursing care quality across hospitals. November 4, 2009 Lucero RJ, Lake ET, Aiken LH. Variations in nursing care quality across hospitals. J Adv Nurs. 2009;65(11):2299-310. doi:10.1111/j.1365-2648.2009.05090.x. https://psnet.ahrq.gov/issue/variations-nursing-care-quality-across-hospitals This seconda…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37733/psn-pdf
    June 13, 2011 - Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. June 13, 2011 Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. Ir J Med Sci. 2008;177(2):93-7. doi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44473/psn-pdf
    September 27, 2016 - Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. September 27, 2016 Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41440/psn-pdf
    August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. August 17, 2016 Rockville, MD: Agency for Healthcare Research and Quality; July 2016. https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety This toolkit provides resou…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41776/psn-pdf
    January 30, 2013 - Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. January 30, 2013 O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. BMJ Qual Saf. 2013;22(2):130…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836727/psn-pdf
    March 09, 2022 - A family and hospital's journey and commitment to improving diagnostic safety. March 9, 2022 Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091. https://psnet.ahrq.gov/issue/family-an…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47885/psn-pdf
    May 01, 2019 - Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. May 1, 2019 Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. https://psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital Patient stories offer important insights regarding the impact m…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41928/psn-pdf
    January 30, 2013 - Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. January 30, 2013 Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. BMJ Qual Saf. 2013;22(2):97-10…
  10. psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
    October 26, 2022 - Review Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. Citation Text: Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixe…
  11. psnet.ahrq.gov/issue/teamwork-associated-reduced-hospital-staff-burnout-military-treatment-facilities-findings
    July 31, 2013 - Study Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey. Citation Text: Godby Vail S, Dierst-Davies R, Kogut D, et al. Teamwork is associated with reduced hospital staff …
  12. psnet.ahrq.gov/issue/components-pharmacist-led-medication-reviews-and-their-relationship-outcomes-systematic
    November 16, 2022 - Review Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis. Citation Text: Craske ME, Hardeman W, Steel N, et al. Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic r…
  13. psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
    April 08, 2008 - Study To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Citation Text: Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…
  14. psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
    July 22, 2020 - Study Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. Citation Text: Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…
  15. psnet.ahrq.gov/issue/clinician-well-being-assessment-and-interventions-joint-commission-accredited-hospitals-and
    June 07, 2023 - Study Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers. Citation Text: Longo BA, Schmaltz SP, Williams SC, et al. Clinician well-being assessment and interventions in Joint Commission-accredited hospitals an…
  16. psnet.ahrq.gov/issue/examination-impact-after-hours-admissions-hospital-resource-use-patient-outcomes-and-costs
    November 30, 2022 - Study Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Citation Text: Skead C, Thompson LH, Kuk H, et al. Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Crit Care Res Pract. 2022…
  17. psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
    October 04, 2011 - Study Classic The long road to patient safety: a status report on patient safety systems. Citation Text: Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. Copy Citation …
  18. psnet.ahrq.gov/issue/prevalence-medication-administration-errors-two-medical-units-automated-prescription-and
    February 26, 2020 - Study Prevalence of medication administration errors in two medical units with automated prescription and dispensing. Citation Text: Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication administration errors in two medical units with automated presc…
  19. psnet.ahrq.gov/issue/system-wide-approach-explaining-variation-potentially-avoidable-emergency-admissions-national
    November 25, 2020 - Study A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. Citation Text: O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: nation…
  20. psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
    April 12, 2023 - Study Emerging Classic Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. Citation Text: Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…

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